ariel barkley successfully delivers a baby girl vaginally. the infant has a vigorous cry. which actions should the nurse take next? (select all that apply.)

Answers

Answer 1

The nurse will take measurements of your child's head circumference, weight, length, temperature, and heart rate. Additionally, they will make sure there are no visible problems or birth traumas.

Why does the nurse check the child's temperature, length etc ?

Nurses frequently check a patient's body temperature to look for indications of an infection, exposure to the environment, shock, ovulation, or therapeutic response to drugs or medical procedures.

In contrast to older adults, whose temperature swings are frequently mild, neonates and babies have temperature fluctuations that put them at higher risk for hypothermia and hyperthermia.
For this reason, it is crucial to monitor and manage their temperature. For typical temperature ranges dependent on approach.

There are both informal (such as making natural observations, gathering information and children's work for portfolios, and using educator and teacher ratings) and formal methods of evaluating children.

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Related Questions

A client has a continuous IV infusion of dopamine and an IV of normal saline at 50ml/hour. The nurse noes that the client's urinary output has been 20ml/hour for the last two hours. Which intervention should the nurse initiate?
A. stop the infusion of dopamine
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output.

Answers

The correct answer is notify the healthcare provider of the urinary output.

Explanation:

Dopamine primarily stimulates the adrenergic system, increasing cardiac output and, thus, urine output. Oliguria is defined as a urine output of less than 20 ml/hour and should be reported to the healthcare provider (D) in order to modify the dopamine dosage. The dose may need to be changed, depending on how quickly it is currently being administered. If the dose is reduced, it should be tapered down gradually rather than being stopped all at once (A). It may be necessary to increase fluid intake rather than (B). There is no need to change the urine catheter because it is draining (C).

What is dopamine?

One kind of neurotransmitter is dopamine. It is produced by your body, and your neurological system uses it to communicate between your nerve cells. It is referred to as a chemical messenger for this reason.

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a client with acute hemorrhagic anemia is to receive four units of packed red blood cells (rbcs) as rapidly as possible. which intervention is most important for the nurse to implement?

Answers

The nurse is responsible for checking that the blood type match is accurate.

What does "acute hemorrhagic anemia" mean?

A disease known as acute hemorrhagic anemia can appear when individuals lose a lot of blood suddenly. Low hemoglobin levels or a low red blood cell count are indicators of anemia. Red blood cells use the protein hemoglobin to deliver oxygen throughout the body.

How does hemolytic anemia affect RBCs?

When individuals have anemia, the body doesn't produce enough healthy red blood cells to supply their tissues with enough oxygen. Being anemic, or having low hemoglobin, can make a patient feel exhausted and frail.Red blood cells are destroyed more quickly than they can be produced in hemolytic anemia. Hemolysis, or the breakdown of red blood cells, is a medical term.All areas of the body receive oxygen due to red blood cells. Anemia is a condition in which the red blood cell count is below normal. Hence, the nurse has to check the blood match.  

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you are dispatched to a 60-year-old man reporting chest pain and shortness of breath. the patient has angina and is taking nitroglycerin, furosemide, and atorvastatin. you hear crackles when listening to his breath sounds. the patient’s difficulty breathing and crackles are due to blood backing up in which part of the body?

Answers

Blood is backing up in the patient's lungs, which is why they are having trouble breathing and making crackling noises.

Patient: Does it have two meanings?

Both the terms "patience" and "patients" have quite distinct meanings while sharing a similar sound. The capacity to wait or suffer adversity for a protracted period of time without being upset is referred to as "patience." The plural of the noun "patient," which refers to a person who receives medical attention, is "patients.

What is your patience like?

But it goes much beyond that. The capacity to wait without being impatient, agitated, or furious is known as patience. It occurs when you maintain composure rather than snapping and whining. When you take a few deep breaths and look within after something doesn't turn out the way you had intended, you are being patient.

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an older client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. in reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan?

Answers

The nurse should include following instructions : Place a pillow between your knees while lying in bed to prevent hip dislocation.

In hemiarthroplasty, the native acetabulum and acetabular cartilage are kept while the femoral head is replaced with a prosthesis. Along with the femoral head, the acetabulum must be replaced during total hip replacement.

For the surgical treatment of displaced subcapital neck fractures with a high risk of femoral head avascular necrosis, hemiarthroplasty is recommended (Garden III and IV fractures).

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while caring for a pediatric client admitted with a viral infection, the nurse knows that which type of cell will be the child’s primary defense against the virus?

Answers

while caring for a pediatric client admitted with a viral infection, the nurse knows that the cell will be the child’s primary defense against the virus is natural killer (NK) cells.

Which second line defense cell type kills virus-infected cells?

The T helper cell will alert the cytotoxic (killing) T cells to intervene if the invader is a virus. These cells kill host cells that are being invaded by a virus by piercing their walls, eradicating the infection in the process.

Which is worse T cell or B cell?

Except for individuals with low-grade histology, the median survival duration for patients with Stage III and IV lymphomas was nine months for T-cell lymphomas and 17 months for B-cell lymphomas. It was discovered that T-cell lymphomas had a much worse prognosis than B-cell lymphomas.

What is the infectious unit of a virus?

Other viruses have the ability to spread in groups, house numerous genomes within a single virion, or house several virions inside a single bigger structure. Multiple viral genomes propagating as a component of the same infective structure distinguishes these as collective infectious units (CIUs).

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a client is scheduled to receive an intravenous immunoglobulin (ivig) infusion. the client asks the nurse about the infusion’s administration and its adverse effects. which condition should the nurse instruct this client to report immediately?

Answers

Client is scheduled to receive an intravenous immunoglobulin infusion. When asked about the infusion’s administration and adverse effects, nurse should instruct to report immediately when there is : tickle in the throat.

What is the adverse effects of intravenous immunoglobulin infusion?

Serious side effects like allergic reactions or low blood counts (anemia) can occur very rarely.

Most common side effects is headache and other side effects are chills, fever, flushing, flu-like muscle pains or joint pains, feeling tired, vomiting, and rash.

The symptoms always occur within the first hour of infusion, and some adverse effects like fever or fatigue can also arise within 24 h.

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how should a nurse prepare to administer a measles, mumps, rubella (mmr) vaccination to a 6 year old child? 1. 3 ml syringe with 23 gauge, 1" needle for im injection 2. use a 25 gauge, ¾" needle for subcutaneous (sub-q) injection. 3. prime intranasal spray for administration. 4. tuberculin (tb) syringe with 28 gauge, 3/8" needle for intradermal injection.

Answers

Subcutaneous (Sub-Q) injection requires a 25-gauge, 3/4-inch needle.

What exactly is the MMR vaccine?

The MMR vaccination, sometimes known as MMR, protects against measles, mumps, and rubella. Children typically receive the first dosage between the ages of 9 and 15 months, followed by the second dose between the ages of 15 and 6 years, with a minimum of four weeks in between each dose.

How is MMR provided?

MMR injections are subcutaneous. Subcutaneous injections are provided on the lipid layer under the skin. Use a 23–25 gauge needle to provide subcutaneous injections; the needle length for babies (1–12 months) is 5/8", and for children (12 months and older), it ranges from 5/8"–3/4". Two doses of a single injection of the MMR vaccination are administered into the upper arm or thigh muscle. To guarantee complete protection, the vaccination must be administered twice.

Hence, a 25-gauge, 3/4-inch needle is used sub-Q.

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the registered nurse (rn) notifies the spouse of a client who was admitted to hospice with shallow respirations, of a change in the client's condition. over the past hour, the client's respiratory pattern has changed to a cheyne stokes pattern.after receiving this information, the client's spouse begins vacuuming around the bed. which stage of grief is the spouse displaying during the visit?

Answers

By denying that the client's passing is imminent, the spouse is displaying the first stage of denial in Kubler-Ross's grief .

In her 1969 book "On Death and Dying," Kübler-Ross—a Swiss American psychiatrist and pioneer of studies on the dying—proposed the "Five Stages of Grief," a patient-focused death-adjustment pattern. Denial, anger, bargaining, despair, and acceptance are those stages.

The Kubler-Ross theory's initial stages cover denial, anger, bargaining, depression, and acceptance.

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the nurse is performing an initial admission assessment from a client. what subjective data gathered from the client will the nurse document? select all that apply.

Answers

Personal data examples includes vital signs, the findings of a medical examination, or laboratory results.

What do you mean by assessment?

Intended to fulfill as the scientific basis for making judgments about children' learning and growth. It involves identifying, choosing, designing, compiling, analyzing, and interpreting the information in order to enhance the students' development and learning.

What is assessment and example?

A testing and analysis is what is meant by an assessment. A Scholastic Aptitude Test is an illustration of a test (SAT). YourDictionary. comparable definitions A statement of a property's value, frequently made for tax purposes, is referred to as an assessment. The process of collecting and analyzing specific data for an evaluation is called assessment.

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an older woman with osteoporosis presents with pain and deformity to her left hip after she shifted her weight onto her other foot. she has most likely experienced a(n)

Answers

After shifting her weight to the other foot, one older woman having osteoporosis appears with pain or deformity in her left hip. She's probably suffered a pathologic fracture.

What causes pathologic fractures most frequently?

Tumors are commonly the cause of pathologic fractures. It's possible for tumors to develop in the vertebrae or for cancer to have spread there from another part of the body. The term "metastasis" describes how cancer spreads.

Which conditions lead to pathological fractures?

Only a select few illnesses, such as osteoarthritis, osteomalacia, Paget's disease, osteitis, osteogenesis imperfecta, innocuous bone tumors and tumors, secondary malignant bone tumors, and primary malignant bone tumors, are frequently to blame for pathological fractures.

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an emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. which means of drug administration would the nurse use to achieve rapid results in this emergency situation?

Answers

The nurse would use IV infusion to achieve rapid results in this emergency situation

Blood flows through the lungs less easily when blood vessels there are thickened, restricted, obstructed, or damaged. Pulmonary hypertension, a disorder caused by an increase in blood pressure in the lungs, results as a result.

In interstitial lung disease and chronic obstructive pulmonary disease (COPD), the most prevalent cause of pulmonary hypertension, hypoxia-induced vasoconstriction and capillary obliteration occur. Hypoxia and uncompensated hypercarbia can raise pulmonary blood pressure during COPD acute exacerbations.

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an older client is admitted to the hospital with severe diarrhea. the registered nurse (rn) is completing an assessment and notes the client has dry mucous membranes and poor skin turgor. which assessment data should the rn gather to determine if the client has a fluid volume deficit?

Answers

Orthostatic hypotension

When an elderly client has experienced severe diarrhea,

orthostatic hypotension may be an indication of a fluid volume deficiency.

Orthostatic hypotension, also known as postural hypotension, is a type of low blood pressure that occurs after sitting or lying down and occurs while standing. Orthostatic hypotension can make you feel woozy, lightheaded, and even faint. There may be some orthostatic hypotension. Episodes might be short.

Orthostatic hypotension symptoms are most frequently caused by fluid volume deficiency in the blood vessels. This could be the result of dehydration brought on by vomiting, diarrhea, or prescription use such diuretics or water pills.

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which assessment should the nurse complete immediately after hearing the client choked while eating? the caregiver's knowledge about feeding a person who is dysphagic. auscultate the client's lungs for adventitious breath sounds. assess the client's loc with the mini-mental status exam. determine the client's ability to swallow liquids.

Answers

A nurse should conduct the following evaluation on a patient who choked while eating: Check the client's lungs for  adventitious breath sounds using auscultation.

What does the phrase "no accidental breath sounds" mean?

The medical professional using a stethoscope may hear regular breathing sounds, reduced or missing breathing sounds, and aberrant breathing sounds. Reduced or absent sounds could indicate: Air or fluid within or surrounding the lungs (such as pneumonia, heart failure, and pleural effusion) increased chest wall thickness.

Why was it crucial to listen for unauthorized breath sounds?

Asthma, chronic obstructive lung disease (COPD), and influenza are only a few of the disorders that can benefit from automatic identification or classification of acoustic anomalies.

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many patients self-medicate with antacids. which patients should be counseled to not take calcium carbonate antacids without discussing it with their provider or a pharmacist first

Answers

People with kidney stones should not take calcium carbonate antacids without a doctor's approval.

What is an antacid and how it works?

Antacids are medications used to treat symptoms caused by excess stomach acid, such as heartburn, stomach upset, and indigestion. An antacid that works by reducing the amount of stomach acid or neutralizing it. They do this because the chemical in antacids is a base (lye), which is the opposite of an acid. The reaction between an acid and a base is called neutralization. This neutralization makes the contents of the stomach less corrosive. This can help reduce the pain associated with ulcers and the burning sensation associated with acid reflux. It can be taken as Liquid or chewable tablets forms.

What symptoms are relieved by antacids?Burning sensation in the chest or abdomen, especially after meals or at night.A sour taste in the mouth.Feeling full or full.Mild pain in chest and abdomen.

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you are the night shift nurse caring for a newly admitted patient who appears to be confused. the family asks to see the patient's medical record. which action would the nurse take?

Answers

Night shift nurse is taking care of a newly admitted patient who appears to be confused. If family asks to see the patient's medical record, then nurse would : discuss the issues that concern the family with them.

What is the reason for a nurse to protect privacy of patient?

Family members do not have the right to receive private personal health information without the consent of the patient. Confidentiality protects  information of patient once it has been disclosed in health care settings.

The American Nurses Association believes that protection of privacy and confidentiality is important in maintaining the trust between health care providers and patients.

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What medicine do you not take while on blood thinners please name the blood thinners.

Answers

Answer:

Medicines like aspirin, ibuprofen, and naproxen can make you bleed more. Even common products like Pepto-Bismol can cause bleeding. Therefore, you should not take these medicines while on blood thinners.

Explanation:

[tex]Have a nice day![/tex]

the nurse teaches a patient diagnosed with chronic stable angina about the pharmacologic action of nitroglycerin. the nurse would include what accurate statement?

Answers

Answer:

"Nitroglycerin opens the arteries to allow more oxygen to be delivered to the heart muscle." Nitroglycerin causes "vasodilation" of the coronary arteries resulting in improved perfusion (blood flow) and delivery of oxygenated blood to the heart muscle.

Explanation:

Nitroglycerin is a vasodilator that relaxes the smooth muscle of the arteries and veins, which increases blood flow to the heart muscle. Nitroglycerin does not increase blood pressure. Nitroglycerin does not reduce vasospasms of the heart's arteries. Nitroglycerin does not decrease the amount of oxygen required by the heart muscle.

a client seeks medical attention to learn why an infection has been resistant to antibiotic therapy. which laboratory test will the nurse anticipate being used first to determine if the client has a primary immune deficiency disease (pidd)?

Answers

A blood test is the main laboratory test used to determine the primary immune deficiency disease (PIDD).

What are primary immune deficiency diseases?

Primary immune deficiency diseases (PIDDs) are uncommon, immune system-damaging hereditary illnesses. People with PIDDs may be vulnerable to persistent, crippling infections like the Epstein-Barr virus (EBV), which raises the chance of developing cancer if they lack a functioning immune response.

How do nurses care for patients with PPID?

The identification of individuals with primary immunodeficiency illnesses is greatly helped by nurses. Nurses must deal with patients who still need primary care after a PIDD diagnosis because of the consequences of this diagnosis. Registered nurses (RNs) supervise and perform medical treatments, as well as provide emotional support to patients' families and inform the public about different health issues.The majority of registered nurses collaborate with doctors and other medical professionals in a variety of settings. Hence, the nurse should take a blood test to determine the primary immune deficiency disease.

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the nurse is planning care for a patient with a t3 spinal cord injury. the nurse includes which intervention in the plan to prevent autonomic hyperreflexia?

Answers

As the nurse plans the patient's treatment for a t3 spinal cord injury, she must include an intervention to prevent autonomic hyperreflexia helping the patient establish a daily bowel habit to prevent constipation.

What causes autonomic hyperreflexia?

Spinal cord damage is the most common trigger of autonomic dysreflexia (AD). People with AD have excessive nervous system responses to stimulus that doesn't harm healthy people.

Autonomic hyperreflexia: where is it?

This occurs when your nervous system, which regulates automatic functions like breathing and digestion, overreacts to doing something below the injured spinal cord. It is also known as hyperreflexia. More than half of those who have an upper back spinal cord injury do so.

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the nurse is preparing the nursing care plan for a newborn who was born via a cesarean delivery. which diagnosis should the nurse prioritize?

Answers

The diagnosis prioritize by the nurse is ineffective clearance of the airway which is related to mucus and secretions. As the top priority in infant care, every newborn contact has to have their respiratory health evaluated.

What is cesarean delivery?

The surgical operation known as a caesarean section, sometimes referred to as a C-section or caesarean delivery, involves delivering one or more babies through an incision made in the mother's belly. This procedure is frequently used when vaginal birth would endanger the mother or the baby.

What is nursing care plan?

A formal procedure known as a nursing care plan (NCP) effectively identifies present needs and recognizes possible requirements or problems. Care plans enable communication between nurses, their patients, and other healthcare providers to achieve health care results.

The nursing process is an organized guide for providing client-centered care and consists of 5 steps in succession. These consist of assessment, diagnosis, planning, and implementation.

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the mother of a preterm newborn is comparing the appearance of her preterm baby to the nearby full-term babies. she asks why her baby's skin appears so different. what is the best response for the nurse to provide?

Answers

The best response for the nurse is : The skin of a preterm newborn is more transparent because there is less subcutaneous fat present.

How does a newborn's skin look like ?

A healthy newborn exhibits deep red or purple skin upon birth, as well as bluish hands and feet.

Before the newborn draws its first breath, their skin turns darker (when they make that first vigorous cry). Vernix, a thick, waxy material coating the skin

Within the first few weeks of life, a newborn's appearance, including their skin, can alter significantly.

The color of your baby's hair may change, and they may develop a lighter or darker complexion. The newborn's skin may start flaking or peeling before you leave the hospital or a few days after you get home.

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a nurse is caring for a client who has been prescribed prednisone. what education should the nurse provide to the client?

Answers

Do not cross your legs. Eat foods low in calcium, take prednisone with meals. Reduce the prednisone dosage before finishing. Tell the client to use the arm rests to help them stand up from a chair.

What precautions should the nurse take when administering chemotherapy?

The sort of pharmacy used by pharmacists and nurses to create chemotherapy medications must adhere to specific rules. Additionally, the nurses and other medical professionals who administer your chemotherapy and assist with your aftercare wear protective gear, such as two sets of special gloves, a gown, and occasionally goggles or a face shield.

What is vincristine toxicity?

Vincristine's dose-limiting toxicity, which is mostly sensory and manifests as painful dysesthesias, ataxia, foot drop, and cranial nerve palsy (affecting extraocular and laryngeal muscles). [20] A dosage threshold of 2 to 6 mg/m2 is required for the onset of sensory symptoms in neurotoxicity.

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a young adult client's acne has responded well to treatment with tetracycline. however, the client has now returned to the clinic 6 weeks later with signs and symptoms of oral candidiasis. the nurse should recognize that this client's current health problem is likely attributable to which occurrence?

Answers

Oral thrush or oral candidiasis can occur as a side effect of tetracycline antibiotics.

What is tetracycline?

Tetracycline is an antibiotic used to treat a variety of conditions, including acne. In fact, tetracycline, along with its close relatives minocycline and doxycycline, are the most commonly prescribed oral antibiotics for acne. Tetracycline is used topically to treat acne. Other antibiotics are more commonly used in cream form to treat acne.

What is oral thrush?

Oral thrush, also known as oral candidiasis, A condition in which Candida albicans accumulates in the mucous membranes of the mouth. Oral candidiasis usually causes creamy white lesions on the inside of the tongue or cheeks. Oral candidiasis can spread to the palate, gums, tonsils, or back of the throat.

Oral thrush or oral candidiasis can occur as a side effect of tetracycline antibiotics.

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a client with a complex cardiac history has been prescribed digoxin 0.0625 mg po. the drug is available as 125 mcg tablets. how many of the tablets will the nurse administer?

Answers

The nurse administer 0.5 tablets to the clients with a complex cardiac history has been prescribed digoxin 0.0625 mg po. The drug is available as 125 mcg tablets

What does the term "drug" mean?

Any chemical (apart from nourishment) that is prescribed to treat, prevent, or relieve the symptoms of an illness or other abnormal state is referred to as a drug. Drugs may alter mood, consciousness, thinking, feelings, or behavior in addition to having an impact on the way the brain and other parts of the body function.

Is sweetener a drug?

Although sugar is a legal chemical, there are far more commonalities between it and illegal narcotics than we might like to imagine.

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what are some strategies that caregivers may use to reduce the development of dental caries and other related dental problems during childhood?

Answers

Caregivers force their children to brush their teeth twice a day to avoid dental problems.

What is dental caries?

Tooth decay (dental caries) is damage to teeth that occurs when the bacteria in the mouth produce acids that attack the tooth's surface and enamel. This causes small holes in the teeth called cavities. If left untreated, cavities can cause pain, infection, and even tooth loss. Symptoms include toothache and tooth sensitivity. An infected tooth can form an abscess or pocket of pus, causing pain, facial swelling, and fever.

What are the causes for tooth decay?

When dental caries come into contact with sugars and starches in food and drink, they form acids. This acid attacks tooth enamel and can cause mineral loss. This can occur if the food or drink contains sugar or starch. As these "acid attack" cycles are repeated, the enamel continues to lose minerals. Over time, tooth enamel weakens and breaks down, leading to tooth decay.

Caregivers force their children to brush their teeth twice a day to avoid dental problems.

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the nurse is assessing a newborn after circumcision and notes that the circumcised area is red with a small amount of bloody drainage. which nursing action is most appropriate?

Answers

Following circumcision, the pe -nis is typically red as it heals. The nurse would only use little pressure in cases of heavy bleeding.

What does red in circumcised area in a newborn mean ?

The gla -ns (head of the pen- is) initially appears to have been scraped and will be red where there was a cut.

Even though there might be some tenderness in the area, it will pass after a few days. For up to two weeks, the pen - is might also show signs of redness, swelling, and yellow pus, especially on the head.

The foreskin, also known as the pre -puce, which covers the pe - nis' head (glans), is removed during circumc- ision, which is a voluntary surgical procedure. The earliest days following birth are when it happens most frequently.

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an older adult client, diagnosed with community-acquired pneumonia, has been prescribed aztreonam. what action should the nurse perform before administering the first dose?

Answers

Dosage and mode of administration should be determined based on the susceptibility of the causative organism, the severity and location of the infection, and the patient's condition.

What is community-acquired pneumonia?Pneumonia is a type of pneumonia which cause breathing problems and other symptoms. In community-acquired pneumonia (CAP), people become infected in the community. It does not occur in hospitals, nursing homes, or other medical centers. Invasion of certain types of bacteria like pneumonia can lead to lung infections. This can impair the functioning of the respiratory system.

What is Aztreonam?

Aztreonam injection is used against bacteria, including respiratory infections like pneumonia and bronchitis, urinary tract infections, blood, skin, gynecological, and abdominal (stomach area) infections. Aztreonam belongs to a class of drugs called monobactam antibiotics. It works by killing bacteria.

Dosage and mode of administration should be determined based on the susceptibility of the causative organism, the severity and location of the infection, and the patient's condition.

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a client who experienced a large upper gastrointestinal (gi) bleed due to gastritis has had the bleeding controlled and is now stable. for the next several hours, the nurse caring for this client should assess for what signs and symptoms of recurrence?

Answers

Tachycardia, hypotension, and trouble breathing are indications of recurrence that the nurse treating for all of this client should examine.

What program is ideal for nursing?

Undoubtedly, the B.sc. Nursing program is superior to general midwives if a person wishes to have a distinguished career in the field of healthcare (GNM). The value of a B.sc. Nursing degree exceeds that of a General Nursing (GNM) programme in terms of job growth, further education, and remuneration.

Can nurses perform surgery?

They are already in charge of many aspects of preoperative planning, particularly postoperative care in surgery. Additionally, a lot of surgical nurses working opt to specialize in a certain field, including obstetrics, children's surgery, or heart surgery.

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the day shift nurse in a long-term care facility has been noticing that the adult brief on a total-care client has not been changed since the previous day’s shift and perineal care has not been provided, despite the brief being full with urine and feces. the client’s perineal area is becoming excoriated from the contact with excrements. the nurse has spoken with the night shift nurse on 2 occasions about the concerns and was told by the night shift nurse that she takes care of the clients and to stay out of her business. what action should the day shift nurse take next?

Answers

The day shift nurse should report the client findings and previous discussions to the charge nurse.

we notice in the stem that the day shift nurse has already taken the first step, which was to discuss the ethical issue with the night shift nurse involved.

Since no corrective measures have been taken, day shift nurse has an ethical obligation to client to now report this situation to the charge nurse.

Staying silent will not protect client, who is the one that day shift nurse has an ethical obligation to protect. Although the day shift nurse may not want to see night shift nurse disciplined or terminated, the focus should remain on protecting client from harm.

Although the agency attorney may become involved at some point, the charge nurse would be next person in the chain of command to report this situation to.

Telling the family to report night shift nurse would be inappropriately shifting the ethical obligation of the nurse to report the situation. This could also create some legal problems that could be avoided by appropriate reporting by nurse.

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a nurse is planning a teaching session for a group of clients diagnosed with irritable bowel syndrome. what points should the nurse include to help the clients control symptom flare-ups?

Answers

Irritable bowel syndrome has been diagnosed in the client, so the nurse advises avoiding meals that overstimulate the gut, such as large meals or high-fat foods, to help control flare-ups.

What is irritable bowel syndrome?

The condition known as irritable bowel syndrome affects the gastrointestinal tract, which is typically comprised of the stomach and intestines (IBS). Possible symptoms include abdominal pain, diarrhoea, and constipation. There could be cramping as well.

Only a small portion of people with IBS have severe symptoms. Some people can manage their symptoms by changing their diet, lifestyle, and stress levels. More severe symptoms may be managed with medication and counselling.

IBS has no effect on gut tissue and doesn't increase your chance of colorectal cancer.

What are the causes of irritable bowel syndrome?

IBS's precise cause is unknown. There seem to be a number of elements involved, including:

1. Muscle spasms in the intestines The interior of your intestines is lined with layers of muscle that contract as they move food through your digestive system. Stronger and longer than usual contractions might cause gas, bloating, and diarrhoea. Weak contractions could prevent food from passing and lead to dry, hard stools.

2. The nervous system. Problems with the nerves in your digestive system may be the cause of your discomfort if your abdomen expands due to gas or faeces. If brain and gut signals are not correctly synchronised, your body may overreact to typical changes in the digestive process. Constipation, diarrhoea, or pain could come next.

3. A terrible illness. IBS may manifest after a severe case of diarrhoea brought on by a virus or bacteria. Gastroenteritis is the term for it. An excessive amount of bacteria in the intestines may be related to IBS (bacterial overgrowth).

4. Early life stress. Stressful experiences, especially when they were young, are associated with more severe IBS symptoms.

5. The fifth alteration in gut microbes. Examples include changes to the viruses, fungi, and bacteria that are typically present in the intestines and crucial for preserving health. IBS sufferers may have different microorganisms than those without the condition, according to research.

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